1. Household members

1.1. How many members are there in your household?

(Enter the number of members in your household who are presently living together under the same roof or on the same lot.)

__ __ persons

1.2. For each member of your family, enter their personal relationship to you, their sex, age, student or worker status, living with you or separately, and marital status.

(Please include here your husband and any children living separately from you due to work, schooling, living with their spouse or in-laws, or being hospitalized.)

	Personal relationship to you	Personal relationship to you	Sex	Age	Student or worker status	Living together or separately	Marital status
	ME	|pers relp codes| = 0	1. male 2. female	|age|	|stdnt wrkr codes|	1. Together 2. Separately	1. Single 2. Married
	|relp|	|pers relp codes|	1. male 2. female	|age|	|stdnt wrkr codes|	1. Together 2. Separately	1. Single 2. Married
	⋮	⋮	⋮	⋮	⋮	⋮	⋮
	|relp|	|pers relp codes|	1. male 2. female	|age|	|stdnt wrkr codes|	1. Together 2. Separately	1. Single 2. Married

Table 1.1 Personal Relationship Codes

00 Me 01 My husband 02 My first child 03 My second child 04 My third child 05 My forth child 06 Fifth or later child subsequent 07 My parent 08 My husband’s parent

09 My grandparent 10 My husband’s grandparent 11 My brother or sister 12 My husband’s brother or sister 13 My child’s spouse 14 My grand child 15 Other relative 16 Other

Todo

The following code table is not included in the questionnaire.

Table 1.2 Student or worker status Codes

1. Preschooler 2. Student in grades 1 to 3 of primary school 3. Student in grades 4 to 6 of primary school 4. Junior-high school student 5. Senior-high school student

6. University or college student 7. Vocational school student 8. Worker 9. Unemployed 10. Other